STONY BROOK HOLISTIC WELLNESS LLC NPI 1235923269

NPI Information

  • NPI: 1235923269
  • Provider Name: STONY BROOK HOLISTIC WELLNESS, LLC
  • Classification: Pain Medicine - 208VP0014X
  • Specialization: Interventional Pain Medicine
  • Entity Type: Organization
  • Address: 2500 NESCONSET HWY BLDG 26
    STONY BROOK, NY
    ZIP 11790
  • Phone: (631) 364-9038

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NPI Details

STONY BROOK HOLISTIC WELLNESS, LLC is an interventional pain medicine pain medicine in Stony Brook, NY. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. STONY BROOK HOLISTIC WELLNESS, LLC NPI is 1235923269. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2500 NESCONSET HWY BLDG 26
STONY BROOK, NY
ZIP 11790-555
Phone: (631) 364-9038

The provider's authorized official is Raymond Louis .
The authorized official title is Cfo and has the following contact phone number (631) 653-1007.

The enumeration date for this NPI number is 4/7/2025 and was last updated on 4/7/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered NurseNo
2208VP0000XPain MedicinePain MedicineNo
3208VP0014XPain MedicineInterventional Pain MedicineYes
4225700000XMassage TherapistNo
5364SH1100XClinical Nurse SpecialistHolisticNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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